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FIRST NAME:

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ADDRESS:

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LAST NAME:

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CITY:

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COMPANY:

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STATE:

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PHONE:

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ZIP:

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EMAIL:

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Will you be the guarantor of any loan or offer originating from credit data purchased via PrecisionLeads.com?

Yes  No

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Are you purchasing credit data on behalf of a branch network as part of a corporate program, or will this data be used by an individual office?

Corporate  Individual

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Will you be making pre-approved offers of credit via outbound teleservices or via direct mail?

Teleservices  Direct Mail

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Have you made pre-approved offers of credit in the past?

Yes  No

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PrecisionLeads.com offers recommended mail packages for use with credit data. Will you require these creative services?

Yes  No

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How much do you plan to spend on credit data in the next 12 months? ($25k annual minimum required for credit data purchase)

How much have you previously spent per record for credit data?

How much have you previously spent per record for mail packages?

* Note that these fields are required as part of our initial review process.